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CPT D0394

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Reported by 26 hospitals in the network under the case rate methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$58

Average

$99

Median

$90

High

$173

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$67$99$173$325$101
2IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$84$88$88$98$3
3IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$73$90$88$102$9
4IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$72$88$89$100$7
5IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$83$88$90$97$4
6IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$83$88$91$102$5
7Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$88$167$158$242$55
8Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$88$88$141$230$69
9IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$72$88$88$97$7
10St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$88$88$89$91$1
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